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Job Summary: Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures.

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. This position requires California RN Licensure. Candidates must...

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Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation, and communication of medical services and benefit determinations. You will work with the One Home/Home Solutions Utilization...

Optum Home & Community Care is seeking an RN Utilization Management Nurse in the greater Washington, DC area. The role reviews PDN/PCS authorizations and uses evidence-based criteria to determine medical necessity. You will coordinate with...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Sentara Health Plans is seeking a Clinical Claims Reviewer/RN for a remote role. You will perform utilization management, comprehensive pre/post-payment claim reviews, and authorization assessments across inpatient, outpatient, and retrospective...

Medix is partnering with a leading national healthcare organization to hire Registered Nurses for a fully remote Utilization Review team. The role offers a base salary of $63,100–$90,000 per year with a 5% target annual bonus and up to 20%...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

Registered Nurse Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Join our team today! Higher Pay Scales and Sign-On...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you'll oversee a department of frontline nurses caring for patients. Every day you will advocate for your fellow nurses as you support them in reaching their full potential,...

Description: Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a...

Join a Company That Puts People First! Licensed Vocational Nurse – LVN We are one of the largest private duty nursing companies in the nation and...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...

Summary Join the Malcom Randall Medical Center as a Home Base Cardiac Rehabilitation (HBCR) Registered Nurse in the Specialty Care Department. The HBRC Registered Nurse provides holistic care through collaborative strategies are use to...

Nursing Assistant in our Progressive Care / Stepdown Unit atProvidence Little Company of Mary Medical Center in Torrance, CA. This position is Full-Time and will work 12-hour Day shifts. The Nurse Assistant (NA) role is a...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Clinical Grievances RN - Remote in CA (2381848) Clinical Grievances RN - Remote in CA - 2381848 At UnitedHealthcare, we're simplifying the...

Job Summary: Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures. Demonstrates performance consistent...

Humana is seeking a Registered Nurse in Wisconsin to join our care coordination team for Family Care Program members. You will coordinate care, provide education, and help members navigate their care with confidence. The role emphasizes...

CVS Health is hiring a fully remote Clinical Claim Review Nurse. The role follows a Monday–Friday, 8am–5pm schedule in the candidate's time zone. You will review outpatient therapy records, interpret data, and apply clinical criteria in line...

Provides direct nursing care including assessments, care plan, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates the delivery of care provided by other...

JOB DESCRIPTION Opportunity in Southern California for an experienced Managed Care Leader to join our health plan in California. Candidates must have a minimum of 7 years of healthcare experience, 3 of those should be with a Managed Care...

Sentara Health is seeking a Registered Nurse for the Physician Practice in a remote weekend day shift role (Sat, Sun, Mon 7am-7:30pm). The RN will provide care in a physician practice or ambulatory clinic, perform triage, assist with exams,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

Position Title: Remote Telephonic RN Case Manager Mandatory Requirement: Must hold an Active Compact RN License and/or an Active California (CA) RN License to be considered. Pay Rate: $48.00 – $50.00 per hour...